butalbital-acetaminophen-caffe
Generic: butalbital/acetaminophen/caffeine
50-325/15 — SOLUTION, ORAL
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
TRICARE
2 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
TRICARE Uniform Formulary 2026
via butalbital/acetaminophen/caffeine |
Tier 1 - Generic Formulary (Basic Core) | — | — | — | None |
| TRICARE Uniform Formulary 2026 | Tier 1 - Generic Formulary | ✓ | — | — | PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED |